Join Dental Protection

Free Dental Student Membership Application Form

I wish to become a Dental Student Member of Dental Protection under the Terms of the Memorandum and Articles of Association of the Medical Protection Society.

Please complete the form below and click submit

Title:

Surname:

Forename:

Date of birth (dd/mm/yyyy):

Gender:

Dental school:

Course year:

Email address:

Confirm Email address:

Home address:

Postcode:

Term-time address
(if different to home address):

Postcode (term-time address):

Preferred mailing address:

Telephone number:

Mobile number:

As a professional organisation protecting you in your career, we expect you to tell us about any current or previous criminal convictions, police cautions, disciplinary or similar issues you are or may have been involved with in the past. If any of these apply to you, please provide dates and details.

If you require any advice or assistance completing this form, please contact the Student Helpline on 0845 900 0022

DPL will not pass on your details to any third parties, as set out in our privacy policy

Student membership benefits

Meet your school rep

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Dental Protection Limited (registered in England No. 2374160) is a wholly owned subsidiary of the Medical Protection Society Limited (registered in England No.36142). Both companies have their registered office at 33 Cavendish Square, London W1G 0PS

MPS is not an insurance company. All the benefits of membership of MPS are discretionary as set out in the Memorandum and Articles of Association